Supportive housing and its impact on diabetes among New York City homeless population.

Supportive housing and its impact on diabetes among New York City homeless population. Am J Epidemiol. 2019 Mar 05;: Authors: Lim S, Miller-Archie SA, Singh TP, Wu WY, Walters SC, Gould LH Abstract Supportive housing addresses a fundamental need for living among homeless individuals, which can lead to reduced diabetes risk and improved diabetes care. The authors tested the association between supportive housing and diabetes outcomes among homeless adults who were eligible for the New York City supportive housing program in 2007-2012. They used multiple administrative data sources, identifying 7,525 Medicaid-eligible adults. The outcomes included receiving evaluation and management services, hemoglobin A1C and lipid testing (those with baseline diabetes, N=1,489), and incidence of new diabetes diagnoses (those without baseline diabetes, N=6,036) in 2 years post-baseline. Difference in these outcomes by placement were estimated using inverse probability of treatment weighting. Placed persons were more likely to receive evaluation and management services (RR = 1.03, 95% CI = 1.01, 1.04). For those with baseline diabetes, placed persons were more likely to receive A1C (RR = 1.10, 95% CI = 1.02, 1.19) and lipid tests (RR = 1.09, 95% CI = 1.02, 1.17) than unplaced persons. For those without baseline diabetes, placement was also associated with lower risk of new diabetes diagnoses (RR = 0.87, 95% CI = 0.76, 0.99). These findings show that b...
Source: Am J Epidemiol - Category: Epidemiology Authors: Tags: Am J Epidemiol Source Type: research